60 Sutures, joints and ligaments
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SYNOVIAL JOINTS OF THE SKULL. Articulationes |
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Acromioclavicular ligament. Lig. acromio- |
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synoviales cranii. Cf. pp. 56.26, 58.1, 58.2 |
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claviculare. Strong fibrous band within and |
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abovethearticularcapsuleservingtoprotectand |
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Temporomandibular joint. Articulatio tem- |
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hold together the clavicle and acromion. D |
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poromandibularis. A B C |
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Articular disc. Discus articularis. Biconcave disc |
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Articular disc. Discus articularis. Fibrocar- |
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of fibrous tissue and fibrocartilage positioned |
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tilaginous interarticular disc. D |
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betweentheheadofthemandibleandthearticu19 |
Coracoclavicular ligament. Lig. coracoclavicu- |
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lar fossa. Since it is connected with the articular |
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lare. Two-part band connecting the coracoid |
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capsule on all sides, it divides the joint into two |
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process and the clavicle. D |
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compartments, both of which are functional |
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Trapezoid |
ligament. Lig. trapezoideum. The |
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units of the discocapsular system. C |
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portion of the coracoclavicular ligament taking |
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Lateral (temporomandibular) |
ligament. Lig. |
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an upward and lateral course from the coracoid |
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laterale. A strong fibrous band occasionally pre- |
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process to the clavicle. It lies between the conoid |
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sent on the lateral surface of the joint. It passes |
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and coraco-acromial ligaments. D |
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obliquely upward and forward from the neck of |
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Conoid ligament. Lig. conoideum. The portion |
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the mandible. A |
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of the coraco-clavicular ligament medial to the |
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Medial ligament.Lig.mediale.Reinforcementof |
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trapezoid ligament. It arises from the root of the |
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the medial wall of the capsule. B |
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coracoid process. D |
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Superior synovial membrane. Membrana syn- |
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Sternoclavicular joint. Articulatio sternoclavic- |
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ovialis superior. Synovial lining of the superior |
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ularis. Two-chambered joint between the ster- |
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articular cavity. C |
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num and clavicle. G |
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Inferior synovial membrane. Membrana syn- |
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Articular disc. Discus articularis. Interarticular |
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ovialis inferior. Synovial lining of the inferior ar- |
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disc anchored below to the first rib and above to |
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ticular cavity. C |
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the clavicle. G |
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Sphenomandibular ligament. Lig. spheno- |
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Anterior sternoclavicular ligament. Lig. ster- |
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mandibulare.Flatligamentontheinneraspectof |
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noclaviculare anterius. Band that reinforces the |
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the mandibular ramus extending from the man- |
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anterior wall of the joint capsule. G |
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dibular foramen to the spine of the sphenoid |
25 Posterior sternoclavicular ligament. Lig. ster- |
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bone lateral to the foramen spinosum. B |
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noclaviculare posterius. Band that reinforces the |
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Stylomandibular ligament. Lig. stylomandibu- |
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posterior wall of the joint capsule. |
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lare. Ligament passing from the anterior surface |
26 Costoclavicular ligament. Lig. costoclaviculare. |
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of the styloid |
process to the |
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of the |
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Ligamentous union between the first rib and the |
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mandible. A B |
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Pterygospinal ligament. Lig. pterygospinale. |
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clavicle lateral to the sternoclavicular joint. G |
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Interclavicular ligament. Lig. interclaviculare. |
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Broadconnectivetissuebandextendingfromthe |
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Ligament passing across the suprasternal notch |
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upper part of the lateral plate of the pterygoid |
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process to the spine of the sphenoid. B |
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and uniting both clavicles. G |
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28 JOINTS OF THE FREE UPPER LIMB. Articulationes |
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Stylohyoid ligament. Lig. stylohyoideum. Liga- |
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membri superioris liberi. |
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ment running between the styloid process and |
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the lesser horn of the hyoid bone. Vestige of the |
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Shoulder |
(glenohumeral) joint. Articulatio |
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second pharyngeal arch. B |
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humeri (glenohumeralis). D E F |
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JOINTS OF THE SHOULDER GIRDLE. Articula- |
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Glenoid lip. Labrum glenoidale. The fibrocar- |
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tiones cinguli pectoralis. D E F G |
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tilaginous margin of the bony glenoid cavity. E |
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Lig. |
cora- |
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Coracoacromial |
ligament. |
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Coracohumeral ligament. Lig. coracohumerale. |
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coacromiale. Strong band extending from the |
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Thickened portion of the capsule passing from |
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coracoid process to the acromion. It forms the |
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therootof thecoracoidprocessto theupper mar- |
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roof of the shoulder joint. D |
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gin of the greater and lesser tubercles. D E |
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Superior transverse scapular ligament. Lig. |
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Glenohumeral ligaments. Ligg. glenohumer- |
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transversum scapulae superius. Ligament lying |
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alia.Threethickenedbands(superior,middle,in- |
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medial to the coracoid process and bridging the |
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ferior) within the anterior wall of the capsule. D E |
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scapular notch. D |
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15 Inferior transverse scapular ligament. [Lig.
23transversum scapulae inferius]. Weak fibrous band passing from the root of the spine of the scapula to the posterior margin of the glenoid
24cavity. F
16 Acromioclavicular joint. Articulatio acromio-
25clavicularis. Joint between the acromion and the clavicle. D
Sutures, joints and ligaments 61
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A |
Temporomandibular joint, |
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C |
Temporomandibular joint, |
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lateral viewl |
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Temporomandibular34.24 |
sagittal section |
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B |
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joint, medial view |
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31 |
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34.10 |
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D |
Lateral ligaments of shoulder, anterior view |
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E |
Shoulder joint, disarticulated, |
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lateral view |
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F |
Shoulder joint, posterior view |
G |
Sternoclavicular joints |
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
a |
a |
62 Sutures, joints and ligaments
1 |
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1 |
Elbow joint. Articulatio cubiti (cubitalis). Artic- |
18 |
Dorsal radiocarpal ligament. Lig. radiocarpale |
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ular connection between the upper arm and |
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dorsale. Ligament on the dorsum of the wrist ex- |
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forearm. A |
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tendingfromtheradiustothetriquetrumbone.C |
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2 |
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2 |
Humeroulnar joint. Articulatio humero-ul- 19 |
Palmar radiocarpal ligament. Lig. radiocarpale |
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naris. Joint between the humerus and ulna. |
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palmare. Ligament on the flexor side radiating |
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3 |
3 |
Humeroradial joint. Articulatio humero- |
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from the radius to the lunate and capitate bones. |
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radialis. Joint between the humerus and radius. |
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D |
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4 |
4 |
Proximal radioulnar joint. Articulatio radio-ul- |
20 |
Palmar ulnocarpal ligament. Lig. ulnocarpale |
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naris proximalis. Joint formed by the articular |
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palmare. Ligament extending from the flexor |
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circumference of the radius and the radial notch |
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sideoftheheadoftheulnarchieflytothecapitate |
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of the ulna. |
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bone. It often unites with fibers of the palmar |
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5 Ulnar collateral ligament. Lig. collaterale ul- |
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radiocarpal ligament. D |
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6 |
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nare. Collateral ligament on the medial part of |
21 |
Radiate carpal ligament. Lig. carpi radiatum. |
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the arm between the ulna and humerus. A |
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Groups of fibers radiating to both sides of the |
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7 |
6 |
Radial collateral ligament. Lig. collaterale |
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wrist mainly from the head of the capitate bone. |
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D |
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radiale. Ligament which spreads from the lateral |
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epicondyle to the annular ligament of the radius |
22 |
Ulnar carpal collateral ligament. Lig. col- |
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and the ulna. A |
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laterale carpi ulnare. Collateral ligament extend- |
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Annular ligament of the radius. Lig. anulare |
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ing from the styloid process of the ulna to the |
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9 |
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radii. Circular band embracing a part of the artic- |
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triquetrum and pisiform bones. C D |
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ular circumference of the radius. It is attached to |
23 |
Radial carpal collateral ligament. Lig. col- |
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the anterior and posterior margins of the radial |
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laterale carpi radiale. External collateral liga- |
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notch of the ulna. A |
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8 |
Quadrate ligament. Lig. quadratum. Thin band |
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ment passing from the styloid process of the |
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radius to the scaphoid bone. C D |
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of fibers passing from the distal margin of the |
24 Dorsal intercarpal ligaments. Ligg. intercar- |
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radial notch of the ulna to the neck of the radius. |
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palia dorsalia. Ligamentous bands extending be- |
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12 |
9 |
Radioulnar syndesmosis (joint). Syndesmosis |
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tween the proximal and distal rows of carpal |
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[articulatio] radioulnaris. Fibrous joint between |
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bones on the dorsum of the wrist. C |
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the radius and ulna. |
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Palmar intercarpal ligaments. Ligg. intercar- |
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Interosseous membrane of forearm. Mem- |
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brana interossea antebrachii. Membranous |
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palia palmaria. Groups of ligaments between the |
14 |
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carpal bones on the palmar aspect below the |
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sheet which spreads between the interosseous |
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radiate carpal ligament. D |
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margins of the radius and ulna. A |
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1511 Oblique cord. Chorda obliqua. Ligamentous band extending obliquely downward from the ulnar tuberosity to the radius. It runs in an op-
16posite direction to most fibers of the interosseous membrane. A
1712 Distal radioulnar joint. Articulatio radioulnaris distalis. B
1813 Articular disc. Discus articularis. Interarticular discbetweentheulnaandcarpus.Itisattachedat the radius and styloid process of the ulna and, as
19an intra-articular ligament, it connects the radius and ulna. B
2014 Recessus sacciformis. Proximal extension of the flaccid articular capsule. B
2115 Radiocarpal joint. Articulatio radiocarpalis. Proximal wrist joint between the proximal row of carpal bones and the radius including the ar-
22ticular disc. B
15 a Carpal joints. Articulationes carpi.
2316 Intercarpal joints. Articulationes intercarpales. Joints between the carpal bones permitting only
24slight movement. B
17 Midcarpal joint. Articulatio mediocarpalis. The
25distalwristjointbetweentheproximalanddistal rows of carpal bones. B
Sutures, joints and ligaments 63
1
2
3
4
5
5
6 |
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7 |
6 |
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88.12 |
16 |
7 |
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16 |
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11
10
A Elbow joint, anterior view
24 
23
18
17
13
15
12
14
BCarpal joints in horizontal section
21
25
22
23
20
19
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
C |
Carpal ligaments, dorsal view |
D |
Carpal ligaments, palmar view |
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25 |
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a |
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a |
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64 Sutures, joints and ligaments
1 |
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1 |
JOINTS OF THE HAND. Articulationes manus. A B |
17 |
Collateral ligaments. Ligg. collateralia. Col- |
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C |
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lateral ligaments of the metacarpophalangeal |
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2 Interosseous intercarpal ligaments. Ligg. in- |
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joints. They slacken during extension of the fin- |
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2 |
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gers and become tense when making a closed |
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tercarpalia interossea. Ligaments penetrating |
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directly through the joint clefts between the car- |
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first. B |
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18 |
Palmar ligaments. Ligg. palmaria. Fibers in the |
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3 |
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pal bones within a row. A |
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3 |
Pisotriquetral joint. Articulatio ossis pisiformis. |
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floor of the tendon sheaths extending from the |
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root of the collateral ligaments to the palmar |
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4 |
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Articulation between the pisiform and |
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side. They should not be confused with the annu- |
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triquetrum bones. A |
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4 Pisohamate ligament. Lig. pisohamatum. Me- |
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lar parts of the fibrous sheaths. See page 92.28. B |
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5 |
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19 |
Deep transverse metacarpal ligament. Lig. |
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dial continuation of the tendon of the flexor carpi |
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ulnaris to the hook of the hamate bone. B |
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metacarpale transversum profundum. Trans- |
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verselyorientedfibroustractsonthepalmar side |
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6 |
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5 |
Pisometacarpal ligament. Lig. pisometacar- |
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of the heads of the metacarpal bones at the level |
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pale. Lateral continuation of the tendon of the |
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of the joint spaces. They hold the distal parts of |
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7 |
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flexor carpi ulnaris to the base of the fifth meta- |
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the metacarpus together. B |
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carpal. B |
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20 |
Interphalangeal joints. Articulationes inter- |
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6 |
Carpal canal or tunnel. Canalis carpi (carpalis). |
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8 |
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phalangeales manus. Middle and distal joints be- |
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Palmar canal located between the tubercles of |
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tween the phalanges. B |
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the scaphoid and trapezium on the one side and |
21 Collateral ligaments of the interphalangeal |
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9 |
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thepisiformboneandthehookofthehamuluson |
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joints. Ligg. collateralia. B |
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the other side. It is bridged over by the flexor reti- |
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naculum (93.26). B |
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22 |
Palmar ligaments. Ligg. palmaria. Fibers which |
10 |
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7 |
Metacarpal articulations. Articulationes |
car- |
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pass into the floor of the tendon sheaths above |
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the interphalangeal joints. B |
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pometacarpales. Slightly movable joints |
be- |
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11tween the distal carpal bones and the metacarpals. A
128 Dorsal carpometacarpal ligaments. Ligg. carpometacarpalia dorsalia. Rigid ligaments on the dorsum of the hand between the distal carpal
13bones and the metacarpal bones. C
9Palmar carpometacarpal ligaments. Ligg. car-
14pometacarpalia palmaria. Ligaments on the palmar side of the hand between the distal carpal
15bones and the metacarpal bones. B
10Carpometacarpal joint of the thumb. Articulatio carpometacarpalis pollicis. Saddle joint be-
16 tweenthefirstmetacarpalandthetrapezium.AB
11 Intermetacarpal joints. Articulationes inter-
17metacarpales. Joints between the bases of the metacarpal bones. A
1812 Dorsal metacarpal ligaments. Ligg. metacarpalia dorsalia. Ligaments between the proximal
19ends of the metacarpals on the extensor side. C
13Palmar metacarpal ligaments. Ligg. metacarpalia palmaria. Ligaments between the bases of
20 |
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the metacarpal bones on the palmar side. B |
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14 |
Interosseous metacarpal ligaments. |
Ligg. |
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21 |
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metacarpalia interossea. Short, tense ligaments |
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at the bases of the metacarpal bones. They lie in |
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22 |
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the intracapsular spaces between the dorsal and |
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palmar metacarpal ligaments. A |
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15 |
Interosseous spaces of metacarpus. Spatia in- |
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23 |
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terossea metacarpi. Spaces between the meta- |
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carpal bones. A C |
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24 |
16 |
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Articulationes |
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Metacarpophalangeal |
joints. |
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metacarpophalangeales. |
Joints |
between |
the |
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25 |
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heads of the metacarpal bones and the bases of |
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the proximal phalanges. B |
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